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Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture
Journal of Orthopaedic Trauma
  • William Obremskey, Vanderbilt Orthopaedic Institute
  • Julie Agel, University of Washington, Seattle
  • Kristin Archer, Vanderbilt Orthopaedic Institute
  • Philip To, Vanderbilt Orthopaedic Institute
  • Paul Tornetta, Boston University
  • Mohit Bhandari, Hamilton Health Sciences
  • Gordon Guyatt
  • David W. Sanders, Western University
  • Emil H. Schemitsch, Saint Michael's Hospital University of Toronto
  • Marc Swiontkowski
  • Stephen Walter
  • Sheila Sprague, McMaster University
  • Diane Heels-Ansdell, McMaster University
  • Lisa Buckingham, McMaster University
  • Pamela Leece, McMaster University
  • Helena Viveiros, McMaster University
  • Tashay Mignott, McMaster University
  • Natalie Ansell, McMaster University
  • Natalie Sidorkewicz, McMaster University
  • Claire Bombardier
  • Jesse A. Berlin
  • Michael Bosse
  • Bruce Browner
  • Brenda Gillespie
  • Alan Jones
  • Peter O'Brien
  • Rudolf Poolman
  • Mark D. Macleod, Western University
  • Timothy Carey, Western University
  • Kellie Leitch, Western University
  • Stuart Bailey, Western University
  • Kevin Gurr, Western University
  • Ken Konito, Western University
Document Type
Conference Proceeding
Publication Date
URL with Digital Object Identifier

© Copyright 2015 Wolters Kluwer Health, Inc. All rights reserved. Objective: To study the activity and incidence of knee pain after sustaining an isolated tibia fracture treated with an infrapatellar intramedullary nail at 1 year. Design: Retrospective review of prospective cohort. Setting: Multicenter Academic and Community hospitals. Patients: Four hundred thirty-seven patients with an isolated tibia fracture completed a 12-month assessment on pain and self-reported activity. Intervention: Infrapatellar intramedullary nail. Outcomes: Demographic information, comorbid conditions, injury characteristics, and surgical technique were recorded. Knee pain was defined on a 1-7 scale with 1 being "no pain" and 7 being a "very great deal of pain." Knee pain >4 was considered clinically significant. Patients reported if they were "able," "able with difficulty," or "unable" to perform the following activities: kneel, run, climb stairs, and walk prolonged. Variables were tested in multilevel multivariable regression analyses. Results: In knee pain, 11% of patients reported a "good deal" to a "very great deal" of pain (>4), and 52% of patients reported "no" or "very little" pain at 12 months. In activity at 12 months, 26% and 29% of patients were unable to kneel or run, respectively, and 31% and 35% of patients, respectively, stated they were able with difficulty or unable to use stairs or walk. Conclusions: Clinically significant knee pain (>4/7) was present in 11% of patients 1 year after a tibia fracture. Of note, 31%-71% of patients had difficulty performing or were unable to perform routine daily activities of kneeling, running, and stair climbing, or walking prolonged distances.


This is an author-accepted manuscript.

The article is published at: Obremskey, W. et al. (2016). Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture. Journal of Orthopaedic Trauma, 30 (3), p 135-141. doi: 10.1097/BOT.0000000000000475

Citation Information
William Obremskey, Julie Agel, Kristin Archer, Philip To, et al.. "Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture" Journal of Orthopaedic Trauma Vol. 30 Iss. 3 (2016) p. 135 - 141
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